The Department of cardiothoracic surgery was established in 2013 at the city unit facility and subsequently at the Neelambur facility. This department is unique as it is equipped with a state of the art operating rooms and fully equipped intensive care units at both the units. To name a few it has the most advanced perfusion system, Extra corporeal Membrane oxygenation (ECMO). The team of surgeons and paramedical staff offer expert care to the patients which is reflected by quality indices like low mortality rate, low infection rate and an early return to activity
The department of cardiothoracic surgery is steered by the able guidance of Dr S Krishna Kishor who had his Undergraduate and post graduate training from M S Ramaiah Medical college , Bangalore and diplomate of Cardiothoracic surgery from National Board of Examinations ,New Delhi. He has serverd in prestigious institutes like Sri Sathya Sai Institute of Higher Medical Sciences Puttaparthi before he joined us. He has performed a wide range of cardiothoracic and vascular procedures and has presented his data in national and International forum.
This center has performed adult , pediatric cardiac , Vascular and thoracic procedures with exemplary results
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A Middle aged gentleman presented to the cardiology outpatient with sudden onset breathlessness. Two days earlier he had severe angina which was treated medically in a peripheral centre. Upon evaluation he was found to have Inferior wall myocardial infarction with ventricular septal rupture and heart failure. With borderline renal function . He was stabilized over 24 hours and coronary angiogram was done with Intra Aortic Balloon pump support (IABP) and shifted to operating room for corrective surgery as an emergent salvage procedure.
Surgery was done under standard cardiopulmonary bypass and hypothermic arrest.
The ventricular septum had a 2 cm defect over the midzone with necrotic edges which was trimmed and patch closure done using treated bovine pericardium adapting the exclusion technique wherein a new surface is created over the necrotic septum.
He had a smooth postoperative course and was shifted to wards on day 4 . His pre discharge echo revealed no residual shunt and moderate LV dysfunction.
Ventricular septal rupture occurs in 1-2% following MI and has a poor outcome if left untreated. 25% die within 24 hrs and 80% by 4 weeks. Post surgery recurrence of VSR is 25%, Heart failure 5%.
Our patient walked home on day 8 following surgery with class II symptoms . We the team members of Cardiac sciences wing at Royalcare are happy to share this information with our colleagues.
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